Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $27.82 / $37.63	Facility		$15.00	$27.82	$37.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $26.49 / $27.82	Professional		$25.51	$26.49	$27.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $33.11 / $58.17	Facility		$23.00	$33.11	$58.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $21.96 / $29.65	Professional		$14.93	$21.96	$29.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $33.86 / $42.33	Professional		$18.53	$33.86	$42.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $27.82 / $51.12	Facility		$15.00	$27.82	$51.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $26.55 / $35.14	Professional		$21.56	$26.55	$35.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $24.24 / $32.72	Professional		$21.81	$24.24	$32.72
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $13.58 / $18.73	Professional		$9.93	$13.58	$18.73